Provider Demographics
NPI:1306373618
Name:PATEL, SHIVANI DIPAK
Entity Type:Individual
Prefix:
First Name:SHIVANI
Middle Name:DIPAK
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 LEGACY TER
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-4213
Mailing Address - Country:US
Mailing Address - Phone:540-798-8785
Mailing Address - Fax:
Practice Address - Street 1:501 HAMPTON PT
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-9012
Practice Address - Country:US
Practice Address - Phone:919-732-9181
Practice Address - Fax:919-732-6218
Is Sole Proprietor?:No
Enumeration Date:2017-05-17
Last Update Date:2017-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician